Fair City Health and Rehab

In the surveyor’s words

From the most serious findings on record at Fair City Health and Rehab, in the surveyor’s own words.

• Immediate jeopardy, widespreadF835Feb 14, 2023

  Based on observations, interviews and record reviews, the facility failed to ensure it was administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident by failing to ensure an effective system was implemented for preventing and controlling COVID-19 infections. The facility failed to ensure: 1. A staff member (S5CNA) reported signs and symptoms of COVID-19 prior to providing direct care to the residents residing on Hall C; 2. A staff member (S5CNA) did not care for 3 (#R14, #R15, and #R16) non-positive COVID-19 residents after she tested positive on 02/08/2023 at 11:06 p.m.; 3. […]

• Immediate jeopardy, widespreadF880Feb 14, 2023

  Based on observations, interviews, and record review, the facility failed to ensure an effective infection control and prevention program was implemented for preventing and controlling COVID-19 infections for 92 non-positive residents who resided in the facility during a COVID-19 outbreak. The facility failed to ensure: 1. A staff member (S5CNA) reported signs and symptoms of COVID-19 prior to providing direct care to the residents residing on Hall C; 2. A staff member (S5CNA) did not care for 3 (#R14, #R15, and #R16) non-positive COVID-19 residents after she tested positive on 02/08/2023 at 11:06 p.m.; 3. COVID-19 testing was being performed and documented on all staff during an outbreak; 4. […]

• Immediate jeopardy, widespreadF882Feb 14, 2023

  Based on observations, interviews, and record review, the facility failed to ensure the individual designated as the Infection Preventionist established and maintained an effective infection prevention and control program to prevent the spread of COVID-19. This deficient practice resulted in an Immediate Jeopardy situation with the likelihood of severe injury and/or death to facility residents beginning on 02/08/2023 at 6:59 p.m., when S5CNA entered the facility with signs and symptoms of COVID-19 and began providing direct patient care to non-COVID-19 positive residents on Hall C. On 02/08/2023 at 11:06 p.m., S5CNA tested positive for COVID-19 and continued to provide direct care for 3 non-COVID-19 positive residents (#R14, #R15, and #R16). […]

• Immediate jeopardy, patternF600Oct 5, 2023

  Based on observations, interviews, and record reviews, the facility failed to ensure residents were free from sexual abuse for 1 (Resident #5) of 6 (Residents #1, #2, #3, #4, #5, and #6) sampled residents reviewed for sexual abuse. The deficient practice resulted in an Immediate Jeopardy situation on 08/29/2023 when Resident #4, a moderately cognitively impaired resident, returned to the facility from a psychiatric hospital stay for sexually inappropriate behaviors. Upon Resident #4 returning to the facility on [DATE], he continued to exhibit sexually inappropriate behaviors with staff. On 09/13/2023 at 1:45 p.m., Resident #4 grabbed Resident #5's breast. After the incident, Resident #4 was placed on 1:1 supervision for 72 hours. […]

• Immediate jeopardy, patternF835Oct 5, 2023

  Based on interviews and record review, the facility failed to ensure it was administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The facility failed to ensure 1 (Resident #5) of 6 (#1, #2, #3, #4, #5, and #6) sampled residents reviewed for sexual abuse were free from sexual abuse by failing to: 1. Protect 1 (Resident #5) female resident from sexual abuse by Resident #4, a resident with known sexually inappropriate behaviors; and 2. […]